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The 2023 Medicare Advantage Plans in Macomb County MI.
2022 Macomb County Michigan
Medicare Advantage Plans
There are 58 Medicare Advantage Plans available in Macomb County MI from 12 different health insurance providers. 25 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2900 and the highest out of pocket is $7550. Macomb County Michigan residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Macomb County Michigan received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
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Return to 2022 Medicare Advantage Plans in Michigan
Manistee County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| Aetna Medicare Eagle (PPO) (H5521-286) | $0 | Local PPO * | $5,500 | |
| BCN Advantage HMO-POS Elements (HMO-POS) (H5883-001) | $30.00 | Local HMO * | $4,500 | |
| HAP Senior Plus Medical Only (HMO) (H2354-019) | $0 | Local HMO * | $4,000 | |
| Humana Honor (PPO) (H5216-190) | $0 | Local PPO * | $5,500 | |
| HumanaChoice R3887-001 (Regional PPO) (R3887-001) | $0 | Regional PPO * | $5,500 | |
| Wellcare Patriot Giveback Open (PPO) (H2117-003) | $0 | Local PPO * | $5,000 | Too New |
2022 Medicare Special Needs Plans in Macomb county Michigan
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Aetna Medicare Assure Premier (HMO D-SNP) | $23.50 | $425.0 | No Gap Coverage | Dual-Eligible | |
| Align Connect (HMO C-SNP) | $0 | $480.0 | No Gap Coverage | Chronic or Disabling Condition | NA |
| Align Thrive (HMO I-SNP) | $24.80 | $480.0 | No Gap Coverage | Institutional | NA |
| HAP Empowered Duals (HMO D-SNP) | $31.50 | $445.0 | Few Brands | Dual-Eligible | |
| Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP) | $18.20 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Longevity Health Plan (HMO I-SNP) | $31.50 | $480.0 | No Gap Coverage | Institutional | Too New |
| McLaren Medicare Inspire Duals (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | Too New |
| Molina Medicare Complete Care (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Molina Medicare Complete Care Select (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| PriorityMedicare D-SNP (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Reliance Dual Care Plus (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | NA |
| UnitedHealthcare Dual Complete (HMO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete Choice (PPO D-SNP) | $31.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Dual Access (HMO-POS D-SNP) | $30.60 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Dual Access Open (PPO D-SNP) | $30.80 | $480.0 | No Gap Coverage | Dual-Eligible | Too New |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.